Colorectal cancer screening behavior and health insurance status (United States)
Colorectal cancer screening behavior and health insurance status (United States)
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DOI：
10.1007/s10552-005-1228-z
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发表时间：
2005-08-01
影响因子：
2.3
通讯作者：
Nattinger, AB
中科院分区：
文献类型：
--
作者：
Matthews, BA;Anderson, RC;Nattinger, AB
目的：本研究的目的是在不同的门诊患者样本中检验健康保险状况与结直肠癌筛查行为之间的关系。方法：横断面、回顾性研究。采用定额抽样方法，从美国中西部三家医疗诊所招募年龄50岁的参保/未参保患者52例（N=104）。数据通过访谈者管理的CRC筛查问卷收集。结果：39%的样本符合CRC检测指南。有保险的参与者比没有保险的参与者更有可能完成任何测试（77%对33%），并且更有可能根据当前的美国指南进行测试（62%对17%），所有ps < 0.001。参保者也明显比未参保者更有可能了解、接受医生建议进行筛查，并表示未来有意进行筛查，ps < 0.001。与有保险的参与者相比，没有保险的参与者因常规原因接受测试的人数较少。如果检测成本相等，在未来对特定筛查方法的偏好上没有出现显著的组间差异。结论：结果表明，结直肠癌筛查部分取决于健康保险状况。增加保险覆盖范围或资源用于低成本、准确的检测，可能有助于未来的筛查。
Objective:The purpose of this study was to examine the association between health insurance status and CRC screening behavior among a diverse sample of ambulatory patients.Methods: Cross-sectional, retrospective study. Quota sampling techniques were used to recruit 52 insured/uninsured patients >= age 50 from three Midwestern medical clinics (N=104). Data were collected by interviewer-administered CRC screening questionnaires.Results: Thirty-nine percent of the sample was in compliance with CRC testing guidelines. Insured compared to uninsured participants were significantly more likely to have ever completed any testing (77% versus 33%), and were more likely to have undertaken testing according to current US guidelines (62% versus 17%), all ps < 0.001. Insured participants also were significantly more likely than the uninsured to know about, receive physician recommendation to screen, and profess future intent to screen, ps < 0.001. Fewer uninsured participants were tested for routine reasons compared to insured participants. Significant group differences did not emerge on future preference for a particular screening methodology, if testing costs were equal.Conclusions: Results suggest that CRC screening depends, in part, on health insurance status. Increasing insurance coverage or resources for low-cost, accurate tests may facilitate future screening.